کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5731346 1611476 2016 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Southwestern Surgical CongressExpanded screening criteria for blunt cerebrovascular injury: a bigger impact than anticipated
ترجمه فارسی عنوان
معیارهای غربالگری آسیب مغزی مغزی: اثرات بزرگتری نسبت به پیش بینی شده
کلمات کلیدی
آسیب های مغزی عضلانی، آسیب شریان کاروتید، آسیب شریان مهره ای، معیارهای نمایش آسیب عروقی آسیب پذیر، سکته مغزی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundWe implemented expanded screening criteria for blunt cerebrovascular injuries (BCVIs) in an attempt to capture the remaining 20% of patients not historically identified with earlier protocols. We hypothesized that these expanded criteria would capture the additional 20% of BCVI patients not previously identified.MethodsScreening criteria for BCVI were expanded in 2011 after identifying new injury patterns. The study population included 4 years prior (2007 to 2010; classic) and following (2011 to 2014; expanded) implementation of expanded criteria.ResultsBCVIs were identified in 386 patients: 150 during the classic period (2.36% incidence) and 236 in the expanded period (2.99% incidence). In the expanded period, 155 patients were imaged based on classic screening criteria, 62 on expanded criteria (21 complex skull fractures, 20 upper rib fractures, 6 mandible fractures, 2 scalp degloving, 1 great vessel injury, and 12 combination), and 19 for other injuries and symptoms.ConclusionsThere was a significant increase in the identification of BCVI following the adoption of expanded screening criteria, resulting in a substantial reduction of missed injuries. Expanded criteria should be adopted when screening for BCVI.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 212, Issue 6, December 2016, Pages 1167-1174
نویسندگان
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